Individual
DR. KENNETH L. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 E 69TH ST, NEW YORK, NY 10021-4957
(212) 772-7730
(212) 772-7750
Mailing address
33 BARLOW LN, RYE, NY 10580-2244
(914) 835-4344
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
024656
NY
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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